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Empowerment, Activation and Engagement for
Digital Health
Session #33, February 12, 2019
Tracie Risling RN, PhD – University of Saskatchewan
Derek Risling MSc, MBA – RisTech Consulting
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Tracie Risling RN, PhD
Derek Risling MSc, MBA
Have no real or apparent conflicts of interest to report.
Conflict of Interest
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Off the Top
â–¶ Session Objectives
â–¶ About Us
The EAE Model
â–¶ Conceptual Confusion
â–¶ Effect on Digital Interventions
â–¶ EAE Model - Components & Operation
Case Study: Plan of Care Portal
Closing
â–¶ Questions/Discussion
Agenda
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• Identify the critical conceptual differences between
patient empowerment, activation, and engagement.
• Discuss the role of the presented EAE model in
supporting improved sustained interaction with digital
health solutions.
• Apply the model to a case study to review how the
model can be used in design, implementation, and
evaluation of health IT projects.
• Share experiences with the group on how the use of
the model may be of benefit in your own context or
project.
Learning Objectives
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-38C
-36F
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Dr. Tracie Risling RN, PhD
Associate Professor – Nursing
Health Informatics Researcher
EAE, AI-Ethics, Patient use EHRs, Supporting HCT
Derek Risling MSc. MBA
Project Manager
Software Developer
Analyst
About Us
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• Scoping Review JMIR 2017-Sep 19(9): e329
• Evaluating Patient Empowerment in eHealth (measures)
Conceptual Confusion
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The EAE model is about achieving
positive health outcomes
Understanding how we can identify and
define the most impactful metrics
And how we can align our measures
so that we can pool our data
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A multi-dimensional process that helps
people gain control over their own lives and
increases their capacity to act on issues
that they themselves define as important
Empowerment
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Sharing Control
Look at:
Understanding the users’ needs and context
Maximizing involvement in healthcare processes
Developing and testing the application
Creating training and support materials
Empowerment
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E
M
P
O
W
E
R
M
E
N
T
(Risling & Risling, 2019)
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Welcome
Activation is
the
TRANSITION
from
Empowered
to Engaged
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Activation as Transition
Look at:
Registering an account
Exploring the application
Getting started on tasks
Leaving and then returning to the application
Activation
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Sustained, Observable, Usage Over Time
Look at:
Logging in to the application frequently
Completing tasks
Providing feedback/requesting new features
Assisting others
Promoting or recommending the application
Engagement
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Case Study: Plan of Care Portal
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What are some empowerment metrics to
consider?
[new measure of patient empowerment]
How could the inclusion of these metrics
affect the portal design?
Case Study: Empowerment
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Once portal development is completed,
how might we measure Activation?
[moving engagement measures to
activation]
How might we plan for Activation, early in
the project?
Case Study: Activation
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What would the behavior of an engaged
user of the portal look like?
[two key measures – EAE Model]
What metrics could we use to measure this
engagement?
Case Study: Engagement
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Sustainment
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How can we monitor for lagging
engagement?
How can we encourage sustained
engagement?
Case Study: Sustainment
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